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Orthodontics A vision
06.10.2009
ORTHODONTICS
DEFINITION: Science that deals with the study of:
growth of craniofacial complex. Development of dentition & occlusion. Treatment of dento-facial anomalies.
BRANCHES OF ORTHODONTICS
PREVENTIVE ORTHODONTICS INTERCEPTIVE ORTHODONTICS CORRECTIVE ORTHODONTICS SURGICAL ORTHODONTICS
Preventive Orthodontics
It is the action taken to preserve the integrity of what appears to be normal at a specific time. This includes:
Early correction of carious lesions (proximal caries). Early recognition and elimination of oral habits. Using space maintainer in early loss of deciduous teeth.
Interceptive Orthodontics
It is that phase of science and art of orthodontics employed to recognize & eliminate potential irregularities and malpositions in the developing dentofacial complex. These procedures are employed to lessen or to eliminate the severity of developing malocclusion. E.g. planned serial extractions.
Corrective Orthodontics
Corrective orthodontics recognizes the existing malocclusion and the need for employing certain technical procedures to reduce or eliminate the problem by using different mechano-therapy like Removable appliances or fixed appliances
Surgical Orthodontics
Surgical orthodontics is combined orthodontic and surgical management of severe skeletal problems of maxillomandibular relationship in an individual, where active growth is completed
OCCLUSION
The way the maxillary & mandibular teeth articulate OR The static contact of upper & lower teeth
MALOCCLUSION
Malocclusion is defined as any deviation from normal occlusion of teeth. The teeth are in abnormal position in relationship to the basal bone of the alveolar process, to the adjacent teeth and/or opposing teeth.
Facial form: Stand in front of the patient and examine the face form of the patient.
Mesoprosopic: in an average face form. Euryprosopic: is a broad and short face. Dolicoprosopic: is a long or narrow face or square face form, oval face form, round face form.
Frontal Evaluation
Bigonial width 30% less than the bi zygomatic width
Subnasale
Gnathion
Normal (165-175)
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ORTHOGNATHIC.
PROGNATHIC.
RETROGNATHIC.
Clinical Evaluation
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Clinical Evaluation
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Frontal Evaluation
Horizontal Reference
Pupillary Plane
Vertical Reference
Passes through philthrum According to midline; Nose Base Nose Tip Chin Tip Upper & lower dental Midlines
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Nose Projection
Normal value; 16-20 mm If increased Maxillary retrusion
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Nasio-labial Angle
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Smile Evaluation
Incisal Show
2/3 crown length-2mm gingiva Reasons for deviations Crown length Lip length Maxillary Height
Buccal Corridors
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Retrusion: condition where the maxillary and/or mandibular teeth are related posterior to the normal. Overjet: It is the horizontal overlapping between the upper and lower anterior teeth. Normally it is 2-3mm. Overjet can be normal, increased or decreased.
Overbite: It is the vertical overlapping of upper and lower anterior teeth. Normal is 12mm. Overbite can be normal, deep bite, closed bite, or open bite. Open bite: condition where there is lack of vertical overlapping of teeth.
Deep bite: condition where there is excessive vertical overlapping of teeth. Cross bite: condition where there is an abnormal buccolingual or labiolingual relationship of teeth, where the lower teeth overlap the upper teeth or vice versa
INDIVIDUAL MALPOSITIONS
Mesioversion. Distoversion. Lingoversion. Labioversion. Infraversion. Supraversion.
INDIVIDUAL MALPOSITIONS
Rotation/Torsiversion. Transposition.
THAN K YOU